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GeneBe

17-40331276-C-G

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 1P and 5B. PP2BP4BS2

The NM_000964.4(RARA):c.58C>G(p.Pro20Ala) variant causes a missense change. The variant allele was found at a frequency of 0.000278 in 1,613,838 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000085 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00030 ( 0 hom. )

Consequence

RARA
NM_000964.4 missense

Scores

8
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.92
Variant links:
Genes affected
RARA (HGNC:9864): (retinoic acid receptor alpha) This gene represents a nuclear retinoic acid receptor. The encoded protein, retinoic acid receptor alpha, regulates transcription in a ligand-dependent manner. This gene has been implicated in regulation of development, differentiation, apoptosis, granulopoeisis, and transcription of clock genes. Translocations between this locus and several other loci have been associated with acute promyelocytic leukemia. Alternatively spliced transcript variants have been found for this locus.[provided by RefSeq, Sep 2010]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PP2
Missense variant where missense usually causes diseases, RARA
BP4
Computational evidence support a benign effect (MetaRNN=0.29652977).
BS2
High AC in GnomAd at 13 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RARANM_000964.4 linkuse as main transcriptc.58C>G p.Pro20Ala missense_variant 2/9 ENST00000254066.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RARAENST00000254066.10 linkuse as main transcriptc.58C>G p.Pro20Ala missense_variant 2/91 NM_000964.4 P4P10276-1
RARAENST00000425707.7 linkuse as main transcriptc.58C>G p.Pro20Ala missense_variant 2/71 P10276-3
RARAENST00000394089.6 linkuse as main transcriptc.58C>G p.Pro20Ala missense_variant 2/92 P4P10276-1
RARAENST00000577646.5 linkuse as main transcriptc.58C>G p.Pro20Ala missense_variant 3/45

Frequencies

GnomAD3 genomes
AF:
0.0000854
AC:
13
AN:
152202
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000162
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000878
AC:
22
AN:
250696
Hom.:
0
AF XY:
0.000111
AC XY:
15
AN XY:
135590
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000290
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000927
Gnomad NFE exome
AF:
0.000150
Gnomad OTH exome
AF:
0.000327
GnomAD4 exome
AF:
0.000298
AC:
435
AN:
1461636
Hom.:
0
Cov.:
31
AF XY:
0.000294
AC XY:
214
AN XY:
727136
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000939
Gnomad4 NFE exome
AF:
0.000373
Gnomad4 OTH exome
AF:
0.000232
GnomAD4 genome
AF:
0.0000854
AC:
13
AN:
152202
Hom.:
0
Cov.:
32
AF XY:
0.0000941
AC XY:
7
AN XY:
74350
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000941
Gnomad4 NFE
AF:
0.000162
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000196
Hom.:
0
Bravo
AF:
0.0000907
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000577
AC:
7
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000296

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 21, 2022The c.58C>G (p.P20A) alteration is located in exon 2 (coding exon 1) of the RARA gene. This alteration results from a C to G substitution at nucleotide position 58, causing the proline (P) at amino acid position 20 to be replaced by an alanine (A). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.069
BayesDel_addAF
Uncertain
0.066
T
BayesDel_noAF
Uncertain
0.12
Cadd
Benign
21
Dann
Benign
0.94
Eigen
Benign
0.16
Eigen_PC
Uncertain
0.32
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.88
D;.;D;D
M_CAP
Uncertain
0.28
D
MetaRNN
Benign
0.30
T;T;T;T
MetaSVM
Uncertain
0.78
D
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.70
T
Sift4G
Benign
0.27
T;T;T;T
Polyphen
0.32
.;B;B;.
Vest4
0.49, 0.56
MVP
0.70
MPC
0.92
ClinPred
0.091
T
GERP RS
5.3
Varity_R
0.092
gMVP
0.48

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs201015843; hg19: chr17-38487528; COSMIC: COSV54198946; COSMIC: COSV54198946; API